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NPI Code Detail

MEDICARE: MEGAN NIENHUIS LMSW

MEDICARE: MEGAN NIENHUIS LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker6801105430MI

General Provider Information

NPI Number : 1891240925
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN NIENHUIS LMSW
Provider Business Mailing Address
First Line : 3132 MOUNT VERNON RD
Second Line :
City : PORT HURON
State : MI
Zip : 48060-1811
Country : US
Telephone Number : 810-479-1774
Fax Number :
Provider Business Practice Location Address
First Line : 3132 MOUNT VERNON RD
Second Line :
City : PORT HURON
State : MI
Zip : 48060-1811
Country : US
Telephone Number : 810-479-1774
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2016
Last Update Date : 02/04/2025

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